title = "Submit your video, photo or story"
url = "/submit-media"
layout = "default"
is_hidden = 0
==
<div class="affiliate-program">
  <div class="container">
    <h1 class="form_title">Submit your video, photo or story </h1>
    <div class="row">
      <div class="col65">
        <div class="flex-inner">
          <p>CARIBBEAN TRAVEL AND TOURS a part of BREEZE TRAVEL Inc.</p>
          <p>Submit your Caribbean experience content via video, photo or story by uploading it below. We will be putting the finest submissions on our Facebook, Instagram, Twitter, YouTube, Snapchat, TikTok and website. Watch out to see if your content gets featured.</p>
          <p>We can’t wait to see it!</p>
          <p>By clicking ‘I Accept’ below, I accept the terms set out in the&nbsp;Content Assignment Agreement&nbsp;and hereby irrevocably assign to Breeze Travel Inc. absolutely and with full title guarantee, all intellectual property rights and interest and all other rights in and to the Content (regardless of the format such Content is submitted in by me). Furthermore, I hereby confirm and agree that from the date I accept these terms and conditions and those further specified in the&nbsp;Content Assignment Agreement&nbsp;  Breeze Travel Inc. shall be exclusively entitled to exploit the Content in any manner or context, throughout the world, on any and all media whether now known or hereafter invented and in perpetuity. I also confirm that any third party or person who is featured in the Content has agreed to such terms and conditions.</p>
        </div>
      </div>
      <div class="col35">
        <div class="form_box">
          <form action="#" method="post" class="flex-inner container">
            <!-- Dates -->
            <div class="input-row">
              <input class="eq-inp" placeholder="First name">
            </div>
            <div class="input-row">
              <input class="eq-inp" placeholder="Surname name">
            </div>
            <div class="input-row">
              <input class="eq-inp" placeholder="Email">
            </div>
            <div class="input-row">
              <input class="eq-inp" placeholder="Phone">
            </div>
            <div class="input-row">
              <textarea class="eq-inp" placeholder="What you would like us to know?"></textarea> </div>
              <div class="input-row">
                <div class="inputfile-box"> <span id="userCV-info" class="info2"></span>
                  <input type="file" name="usercv" class="form-control inputfile inputfile-5 has-focus validates-as-required" id="usercv" data-multiple-caption="{count} files selected" placeholder="Drop a file here, or Click Here to upload">
                  <label for="usercv"><span></span></label>
                  <div class="upload_cc">
                    <div class="upload_cc2"><text>Drag& drop your files here, or<b>browse</b></text></div>
                  </div>
                </div>
             
            </div>
            <div class="input-row">
              <div class="conditions_box">
                <label class="label_check">
                  <input type="checkbox" name="alert1" id="alert1">
                  <span>I am the sole rights holder of the Content, I am over 18 years old and I accept the above Terms &amp; Conditions ORI am
                  the parent or legal guardian of the sole rights holder of the Content who is under 18 years old and I accept the above
                  Terms&amp; Conditions on the right's holder's behalf as agent or attorney, as if I was the rights holder for these purposes.</span></label>
              </div>
            </div>
            <div class="input-row">
              <input class="eq-inp" placeholder="Sign your name">
            </div>
            <button class="btn-lg">Submit</button>
          </form>
        </div>
      </div>
    </div>
  </div>
</div>
<style>
.affiliate-program .col65 {float: left;width: 50%;padding: 0 15px;}
.affiliate-program .col35 {float: left;width: 50%;padding: 0 15px;}
.affiliate-program .form_title {margin-bottom: 50px;}
.affiliate-program .flex-inner {max-width: 100%;padding: 0 !important;}
.affiliate-program .flex-inner .input-row {width: 100%;display: inline-block;margin-bottom: 20px;}
.affiliate-program .flex-inner input ,.affiliate-program .flex-inner textarea {width: 100%;height:50px;padding: 0 10px;border-radius: 5px;outline: none !important;border: 1px solid #0000000f;background: #ffffff;}
.affiliate-program .flex-inner input::placeholder,.affiliate-program .flex-inner textarea::placeholder {color: #919191;}
.affiliate-program {margin: 50px 0;}
.affiliate-program .form_box {border: 1px solid #0000000f;background: #f5f5f5;padding: 30px;}
.affiliate-program .flex-inner textarea {height:100px;padding: 8px 10px !important;line-height: 20px;}
.affiliate-program .flex-inner button {outline: none;line-height: 15px;font-size: 18px;padding: 14px 35px;color: #fff;background: #000;border: 0 !important;}
.affiliate-program .flex-inner ul {padding-left: 20px;}
.affiliate-program .flex-inner ul li {text-align: left;list-style: disc;line-height: 24px;}
.conditions_box .label_check span {line-height: 20px;padding-left: 30px;position: relative;display: inline-block;cursor: pointer;font-size: 14px;text-align: left;}
.conditions_box .label_check span:after {content: "";position: absolute;left: 0px;width: 20px;height: 20px;top: 2px;border: 2px solid #7a7668;font-size: 15px;}
.conditions_box .label_check span:before {content: "✓";position: absolute;width: 20px;height: 20px;text-align: center;line-height: 22px;display: inline-block;left: 0px;top: 1px;opacity: 0;color: #7a7668;}
.conditions_box .label_check input {display: none;}
.conditions_box input[type="checkbox"]:checked+span:before {opacity: 1;}
.inputfile-box {position: relative;}
.inputfile-box input {position: absolute;left: 0;top: 0;width: 100% !important;height: 100% !important;opacity: 0;cursor: pointer;}
.inputfile-box .upload_cc {height: 140px;width: 100%;display: flex;background: #fff;background-position: left center;background-size: 200% auto;border-radius: 5px;align-items: center;justify-content: center;border: 2px dashed #0000000f;transition: all 0.4s ease-in-out;}
.inputfile-box .upload_cc text b {display: block;}
.inputfile-box .upload_cc text {text-align: center;}
.inputfile-box label {position: absolute;margin: 0 !important;top: 50%;width: 100%;text-align: center;}
.inputfile-box label span {margin-top: 20px;display: inline-block;}
</style>